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General NPI Number Information
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NPI Number | 1457172835
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Entity Type | Individual
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Provider Name | JORDAN MAJOR
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Gender | Male
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Dates
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Enumeration Date | 10/18/2024
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 100 RANO BLVD
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City | VESTAL
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State | NY
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Zip | 13850-2776
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Country | US
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Telephone | 607-798-8878
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Fax |
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Provider Business Mailing Address
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Address Line | 29 EDWARD ST
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City | JOHNSON CITY
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State | NY
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Zip | 13790-2737
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Country | US
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Telephone | 607-222-9088
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 072085
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License Number State | NY
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